What is already known about this topic?Brucellosis,mainly caused by Brucella melitensis(B.melitensis),is regarded as a significant zoonotic disease in China.In Weihai,located at the eastern end of the Shandong Peninsu...What is already known about this topic?Brucellosis,mainly caused by Brucella melitensis(B.melitensis),is regarded as a significant zoonotic disease in China.In Weihai,located at the eastern end of the Shandong Peninsula,brucellosis has been in a low epidemic phase for the past five years.What is added by this report?This was the initial report of a brucellosis outbreak in the last five years.Strains of B.melitensis bv.3 from Weihai and other cities showed a close genetic relationship,suggesting a potential common ancestry.What are the implications for public health practice?Epidemiological investigations depend on standardized and effective molecular typing methods and analysis tools for public health laboratories to identify and trace outbreaks.Understanding the circulation patterns of livestock in free-range households in heavily affected areas is essential for controlling the spread of brucellosis.展开更多
As of August 15,2021,2 confirmed cases of anthrax were reported to Shandong CDC,one of which was a 14-year-old student(Patient A)and the other was a 35-year-old man(Patient B)engaging in the slaughter of cattle.Patien...As of August 15,2021,2 confirmed cases of anthrax were reported to Shandong CDC,one of which was a 14-year-old student(Patient A)and the other was a 35-year-old man(Patient B)engaging in the slaughter of cattle.Patient A died on August 6,and Patient B has been transferred to an infectious disease hospital for isolation and treatment.The Shandong CDC formed a joint investigation team to determine the source of infection and prevent any further spread.展开更多
Introduction:Rabies is a viral zoonotic disease that causes progressive and fatal inflammation in the brain.Rabies has caused more than 5,000 human deaths in Shandong Province since 1955.This study aimed to analyze th...Introduction:Rabies is a viral zoonotic disease that causes progressive and fatal inflammation in the brain.Rabies has caused more than 5,000 human deaths in Shandong Province since 1955.This study aimed to analyze the epidemiological characteristics of human rabies in Shandong Province from 2010 to 2020 and to provide a scientific basis for policy changes.Methods:The data of reported human rabies cases from 2010 to 2020 were obtained from China’s National Notifiable Disease Reporting System,and data related to exposure and post-exposure prophylaxis(PEP)of the cases were acquired through case investigation.Results:A total of 414 human rabies cases were reported in Shandong Province from 2010 to 2020.Out of the 414 total cases,87.20%were primarily farmers;83.10%were over 40 years old.70.29%(265/377)belonged to categoryⅢexposure;and 96.67%(377/390)were exposed to the virus through infected dogs.The vaccine inoculation rate of these cases after exposure was only 8.85%;1.03%(4/390)had been vaccinated with rabies immunoglobulin,developing the disease 11 to 13 days after categoryⅢexposure.Conclusions:Dogs were still the primary animal hosts.Most rabies patients died due to no or inadequate post-exposure prophylaxis.Vaccine inoculation rates for dogs should reach the target of 70%as soon as possible.Health departments should improve the accessibility and quality of PEP;and improve the health literacy of the elderly in rural areas.展开更多
基金Supported by Medical and Health Development Plan of Shandong(2015WS0272)TCM science and technology project of Shandong(Q-2022091).
文摘What is already known about this topic?Brucellosis,mainly caused by Brucella melitensis(B.melitensis),is regarded as a significant zoonotic disease in China.In Weihai,located at the eastern end of the Shandong Peninsula,brucellosis has been in a low epidemic phase for the past five years.What is added by this report?This was the initial report of a brucellosis outbreak in the last five years.Strains of B.melitensis bv.3 from Weihai and other cities showed a close genetic relationship,suggesting a potential common ancestry.What are the implications for public health practice?Epidemiological investigations depend on standardized and effective molecular typing methods and analysis tools for public health laboratories to identify and trace outbreaks.Understanding the circulation patterns of livestock in free-range households in heavily affected areas is essential for controlling the spread of brucellosis.
文摘As of August 15,2021,2 confirmed cases of anthrax were reported to Shandong CDC,one of which was a 14-year-old student(Patient A)and the other was a 35-year-old man(Patient B)engaging in the slaughter of cattle.Patient A died on August 6,and Patient B has been transferred to an infectious disease hospital for isolation and treatment.The Shandong CDC formed a joint investigation team to determine the source of infection and prevent any further spread.
文摘Introduction:Rabies is a viral zoonotic disease that causes progressive and fatal inflammation in the brain.Rabies has caused more than 5,000 human deaths in Shandong Province since 1955.This study aimed to analyze the epidemiological characteristics of human rabies in Shandong Province from 2010 to 2020 and to provide a scientific basis for policy changes.Methods:The data of reported human rabies cases from 2010 to 2020 were obtained from China’s National Notifiable Disease Reporting System,and data related to exposure and post-exposure prophylaxis(PEP)of the cases were acquired through case investigation.Results:A total of 414 human rabies cases were reported in Shandong Province from 2010 to 2020.Out of the 414 total cases,87.20%were primarily farmers;83.10%were over 40 years old.70.29%(265/377)belonged to categoryⅢexposure;and 96.67%(377/390)were exposed to the virus through infected dogs.The vaccine inoculation rate of these cases after exposure was only 8.85%;1.03%(4/390)had been vaccinated with rabies immunoglobulin,developing the disease 11 to 13 days after categoryⅢexposure.Conclusions:Dogs were still the primary animal hosts.Most rabies patients died due to no or inadequate post-exposure prophylaxis.Vaccine inoculation rates for dogs should reach the target of 70%as soon as possible.Health departments should improve the accessibility and quality of PEP;and improve the health literacy of the elderly in rural areas.
